Galactorrhea in an Adolescent Girl

Patricia Ryan-Krause, MS, MSN, RN, CPNP

Disclosures

J Pediatr Health Care. 2009;23(1):54-58. 

In This Article

Physical Examination

DK was 64 inches tall and weighed 167 lb, yielding a body mass index of 28.5 and putting her in the "overweight" category. This was a consistent growth pattern from her previous visit. Her blood pressure was 120/70 mm Hg, which was at the 90th percentile for her height, age, and sex. DK presented as a quiet, comfortable young adolescent. She made good eye contact with the nurse practitioner (NP) and answered all questions thoughtfully. Her physical examination was significant only for a small amount of milky discharge expressed from her left nipple (breasts Tanner stage V). Several small (3 mm) erythematous firm lesions consistent with a very mild folliculitis were noted on her right labia majora (PH Tanner stage IV). Her skin was otherwise clear without acanthosis nigricans or striae. A comprehensive neurologic examination was conducted including tone, strength, reflexes, cranial nerves, and sensation. No abnormalities were noted. The remainder of the physical examination was completely within normal limits. Visual acuity screening was normal for distance.

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